freaking out and I hope someone can give me advice
Hi all, I've been recently diagnosed with graves about a month ago after admitted to hospital with tachycardia of 130-140s. I am very grateful for this community in helping me to navigate things at the start. However, in my latest follow-up with the GP, it shows that my liver enzymes were elevated. At the start my FT4 is 35.8pmol/L and my liver enzymes ALT is 32 (normal range) and AST 65 (slightly elevated). I was started on carbimazole 20mg for 2 weeks before tapering down to 10mg for the next month.
3 weeks later I had my bloodwork and it shows FT4 34.4pmol/L (barely moved) and my liver enzyme ALT increased to 100 from 32 and AST to 89 from 65. After a week which, my doctor re-ordered my liver panel and it shows my ALT increased to 115 and AST 102. I know that the medication has side effect for liver injury so I asked my GP could it be due to that. However, my GP says that we need to increase it back to 20mg as it shows that my thyroid is still producing too much hormones which is the reason for my liver results. GP wanted to be follow-up in a month's time until I kept questioning him then did he agree to check my liver again in 2 weeks. I've already asked to be referred to specialist however I'm really anxious and I've been crying about it as it may take awhile before getting a date with the endocrinologist. I really like to know f anyone has similar results/situation like me or I'm worrying too much and I just need to follow through with the medications? Otherwise, how else can I advocate myself in this situation? Thank you all